Chinese Journal of Dermatology ›› 2026, Vol. 59 ›› Issue (8): 728-737.doi: 10.35541/cjd.20250541

• Guidelines and Consensus • Previous Articles     Next Articles

Chinese expert consensus on sirolimus in the treatment of Kaposiform hemangioendothelioma (2026 edition)

Expert Group on the “Chinese expert consensus on sirolimus in the treatment of Kaposiform hemangioendothelioma (2026 edition)”   

  1. Expert Group on the “Chinese expert consensus on sirolimus in the treatment of Kaposiform hemangioendothelioma (2026 edition)”
  • Received:2025-09-29 Revised:2026-01-05 Online:2026-08-15 Published:2026-08-03
  • Contact: Li Kai; Ji Yi E-mail:likai2727@163.com;jijiyuanyuan@163.com
  • Supported by:
    National Natural Science Foundation of China (82473553, 82273556); Excellent Youth Foundation of Sichuan Province of China (2025NSFJQ0070); Youth Foundation of Sichuan Province of China (2025ZNSFSC1525); ‘0 to 1′ Project of Sichuan University (2022SCUH0033); Med-X Center for Informatics Funding Project (YGJC004); 1·3·5 Project for Disciplines of Excellence Clinical Research Incubation Project of West China Hospital of Sichuan University (2023HXFH004, 2020HXFH048, 2019HXFH056); 1·3·5 Project for Disciplines of Excellence Clinical Research Interdisciplinary Innovation Project of West China Hospital of Sichuan University (ZYJC21060)

Abstract: 【Abstract】 Kaposiform hemangioendothelioma (KHE) is a rare locally aggressive vascular neoplasm that may be accompanied by coagulopathy, leading to disseminated intravascular coagulation and potentially life-threatening complications. The most recent consensus on the diagnosis and management of KHE recommends sirolimus as a first-line treatment for unresectable KHE, replacing traditional therapies such as glucocorticoids and vincristine, and has significantly improved patient survival and quality of life. To promote the scientific and standardized use of sirolimus in clinical practice, 33 senior experts from multiple disciplines with extensive experience in the diagnosis and treatment of KHE in China reviewed the latest evidence and integrated it with domestic clinical practice. Consensus recommendations were reached, and the “Chinese expert consensus on sirolimus in the treatment of Kaposiform hemangioendothelioma (2026 edition)” was developed.

Key words: Sirolimus, Kaposiform hemangioendothelioma, Therapy, Expert consensus